Services Designed Around Your Needs

Every organization we work with operates differently. Some need a full billing partner. Others need backup during busy stretches, help untangling authorizations, or a steady hand on a single piece of the workflow. Guiding Light Billing Solutions is built to flex around what your team actually needs — not the other way around.

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Full-Service Billing

When your team needs an experienced billing partner who can run the entire process, we step in fully. From submitting claims to following up on denials, we handle the day-to-day work that keeps revenue moving and providers focused on care.

What's Included

  • Claim submission and tracking

  • Denial management and resubmissions

  • Payment posting and reconciliation

  • Eligibility verification

  • Monthly billing reports and summaries

  • Direct communication with MaineCare and other payers

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Authorizations & Compliance

Authorizations and compliance work is where most providers feel the weight of administrative burden. We manage the Atrezzo workflows, prior authorization submissions, and documentation requirements that keep your services approved and your organization protected.

What's Included

  • Atrezzo prior authorization submissions

  • Continuing care and reauthorization tracking

  • PNMI documentation and compliance support

  • MaineCare Section 97 workflow management

  • Documentation review and gap identification

  • Coordination with clinical teams to keep submissions on time

Flexible Tailored Support

Not every organization needs a full billing partner. Sometimes you need help with a specific stretch of work, an extra set of hands during a busy season, or expert support on a single piece of the workflow that keeps tripping up your team. We shape engagements around what your organization actually needs — no rigid packages, no unnecessary overhead.

Common Engagements

  • Supplemental support during staff transitions or leave coverage

  • Targeted help with a specific service line or payer

  • Backlog cleanup and claim recovery projects

  • Short-term support during periods of growth or strain

  • Consulting on workflows, documentation, or process improvement

  • Coverage during busy authorization or audit periods

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How Engagements Work

Every engagement starts with a conversation. We learn about your organization, the services you provide, and where the administrative work is creating friction. From there, we recommend the level of support that fits — whether that's full billing, focused compliance work, or something in between.

Pricing is scoped to the work, not pulled off a list. You'll know exactly what's included, what's not, and what to expect before anything begins.

Let's Find the Right Fit for Your Team

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